Laserfiche WebLink
Total Fee: $ (Fq Er 3 7 Date Received: & c '-' 7 <br /> Entered By: Permit#: A/o79..5� <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> THE APPLICANT IS: (circle one) OWNER OI CONTRACTOR <br /> JOB SITE ADDRESS: 7--/3 jjtl, L(,otJ 1)16 C) LAAi IA (6- ZIP: 5-53 <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> Yes 3 No if yes, a special event permit is required with Police Department and City Council approval <br /> 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates <br /> sufficient on-site parking is available. 'Von-permitted events will not be allowed. <br /> NAME OF OWNER: '7/V' IA) c_/ 5 PHONE: (home) 15Z- L/73-01'-7o <br /> AA/6 <br /> (work) <br /> MAILING ADDRESS:9/S L) tL,W V��L) CITY:AA/6 Mge ZIP: 6:535-6, <br /> CONTRACTOR: 7Z/V l PDTT6/? C44JS7, JA.' PHONE: /6 2- 4/7. -ago <br /> 7S <br /> CONTACT PERSON: "Th/vi ATfic--2 MOBILE/PAGER: 6/L- 28Z- 7y3k <br /> MAILING ADDRESS: 473-3/ ikuo,)5i z6 ,(,l✓'CITY: elkte/fA556)ZIP: 553/7 <br /> STATE LICENSE: # .2013o/ £// EXPIRATION DATE: 3 — 3 /— c) '7 <br /> ARCHITECT/ENGINEER: Iq- PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure <br /> Move Home Remodel/Alteration (ie: Siding, Windows) )< <br /> Any earth movement may require MCWD review and permits ! <br /> PROPOSED WORK(describe in detail): Fit),3 tl 5/LTS ►2T 1CIi/1 /4-464 <br /> a0 cA/46 /2E-A Izaccz. of �x1'S-ri".✓c. /4-o <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 39 o oo. 0 c) <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; <br /> that the work will be in conformance with the ordinances and codes of the City and with the State Building <br /> Code;that I understand this is not a permit and work is not to start without a permit;and that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: Pat -2:7 — .07 <br /> �— W DATE: p2 <br /> 31 <br />